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Individual

MS. CASSIE DEESE CORBIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2617 MITCHAM DR STE 102, TALLAHASSEE, FL 32308-5479
(850) 878-1171
(850) 942-1291
Mailing address
2617 MITCHAM DR STE 102, TALLAHASSEE, FL 32308-5479
(850) 878-1171
(850) 942-1291

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9179861
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015819700
FL
05
060754100
FL
Enumeration date
06/25/2015
Last updated
02/05/2020
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